Student Survey

1

Family Account* This field is required.

2

Student Name* This field is required.

3

Student Chinese NameIf Applicable

4

Student's Date of Birth

Date

5

Parent Name* This field is required.or Guardian name

6

Parent Email* This field is required.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

7

Does either parent speak Chinese?* This field is required.

YESNO

8

Has the student previously attended a Chinese school or program?* This field is required.Is the student currently or have previously attended a Chinese School Program?

No

Yes

Yes, Dual Language Immersion Program

Yes, on-line class

9

For what duration did the student go to the Chinese school?* This field is required.

No, never learned

Yes, less than a year

Yes, 1-2 years

Yes, 3-4 years

Yes, more than 4 years

10

Is Chinese spoken at home by the student?* This field is required.

Always

Sometimes

Not at all

11

Student's Chinese Speaking & Listening ability?* This field is required.What is the level of the student's Speaking & Listening comprehension ability?

Very Good

Average

Weak, need help in English

Never learned

12

Student's Chinese Reading & Writing ability?* This field is required.What is the level of the student's Reading & Writing comprehension ability?

Very Good

Average

Weak, need help in English

Never learned

13

Preference in Traditional Chinese or Simplified Chinese?* This field is required.Which do you prefer, Traditional Chinese or Simplified Chinese?

Traditional Chinese

Simplified Chinese

No Preference

14

Public/Private School Name* This field is required.Regular Public/Private School Enrolled in for the Fall semester of 2025

16

Student Attending IEP* This field is required.Individualized Education Plan

YESNO